Individual
ALEXIS KNEALE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 E SELTICE WAY, POST FALLS, ID 83854-7022
(208) 777-0128
Mailing address
4316 N MOLTER RD, OTIS ORCHARDS, WA 99027-8324
(509) 863-5516
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4620
ID
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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